Pollack, Jacqueline Robin

Pollack, Jacqueline Robin is an sole proprietor health care provider with primary practice located at 1003 Ridgemount Pl , Heathrow FL 32746-1941. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Pollack, Jacqueline Robin can be contacted via phone (321) 279-7326.

Contact Information

Primary practice address
1003 Ridgemount Pl Heathrow FL 32746-1941
Phone: (321) 279-7326
Fax: (407) 829-2363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA 4607 Florida

Profile Details

NPI number 1770590143
LBN Legal business name Pollack, Jacqueline Robin
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770590143 NPPES
Florida MEDICAID 8911452

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